Befeler B
Chest. 1978 Jun;73(6):832-8. doi: 10.1378/chest.73.6.832.
This report presents the experience obtained with the use of mechanical stimulation of the heart by external ("chest thump") and internal (stimulation via catheter) means in the treatment of tachyarrhythmias. The chest thump was used primarily for termination of ventricular tachyarrhythmias. Endocardial stimulation of the right and left ventricles and right atrium via catheters was used for both ventricular and supraventricular arrhythmias. The experience reported includes 68 patients, 19 of whom were treated successfully with mechanical stimulation and 49 of whom required other types of treatment. Of the 32 patients with 33 episodes of atrial tachycardia, eight episodes (24%) were treated successfully (three episodes by right atiral stimulation and five by right ventricular stimulation). Of the four patients with five episodes of junctional tachycardia, three episodes (60%) were treated successfully (one episode by right atrial stimulation and two by right ventricular stimulation). Of the 32 patients with ventricular tachycardia who experienced 37 episodes, 15 episodes (41%) were treated successfully (three by right ventricular stimulation, two by left ventricular stimulation, and ten by chest thump). In two of these patients, the thump was applied to an area of paradoxical pulsation.
本报告介绍了通过外部（“胸部叩击”）和内部（经导管刺激）方法对心脏进行机械刺激治疗快速性心律失常的经验。胸部叩击主要用于终止室性快速性心律失常。通过导管对右心室、左心室和右心房进行心内膜刺激，用于治疗室性和室上性心律失常。报告的经验包括68例患者，其中19例通过机械刺激成功治疗，49例需要其他类型的治疗。在32例发生33次房性心动过速的患者中，8次发作（24%）成功治疗（3次通过右心房刺激，5次通过右心室刺激）。在4例发生5次交界性心动过速的患者中，3次发作（60%）成功治疗（1次通过右心房刺激，2次通过右心室刺激）。在32例发生37次室性心动过速的患者中，15次发作（41%）成功治疗（3次通过右心室刺激，2次通过左心室刺激，10次通过胸部叩击）。在其中2例患者中，叩击应用于矛盾搏动区域。
